| NPI | 1104468933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012610) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61613892) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-10-05 |